Individual provider · Type 1 NPI

Modupe Harriet Ajisafe, MD

Family Medicine Physician · Jackson, MS

NPI number 1306632344 Active

Practice location

Department Of Family Medicine, 2500 N State St
Jackson, MS 39216

Call (601) 984-5426 Map

Mailing address

1855 Lakeland Dr Apt 415
Jackson, MS 39216-0005

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	T5940 (MS)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1306632344

Modupe Harriet Ajisafe, MD's National Provider Identifier is 1306632344, issued on Apr 16, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jackson, MS. The record was last updated on Nov 5, 2025.